Register — Percy Lodge October 2026 Meeting

Full Name *

Lodge Name & Number

Contact Number *

Email Address *

Attending Meeting Only Attending and Dining Attending and Dining with Guest Dining Only Unable to Attend — Please tender my apologies

Silver Service Festive Board
Cost: £25.00 per person

Number of dining places required (including yourself) *

Any additional dining details or requests

Dietary requirements or allergies *

Cost: £25.00 per person

Account Name: Percy Lodge No.1427

Sort Code: 20-40-09 • Account: 40579939

Reference: Your full name

Expected payment date

Reason (optional)

Family Commitments Work Commitments Holiday Other

Please specify

Additional notes